Circumareolar mastopexy (circular) — what it is, the before and after photos, prices, reviews
The main objectives of the operation
The global aim of the operation is to return the breast to its former appeal.
For the surgeon the global goal is broken down into many smaller goals:
- to return the nipple to the level of the skin fold under the breast;
- to eliminate the excess skin;
- to give the breast a natural shape;
- to correct the asymmetry;
- if necessary to reduce the diameter of the areola of the nipple.
In most cases, the surgeon before the operation inflicts on the body of the patient-specific markup. Mark with ink the site of the incision when the patient is sitting or standing, hands dangling loosely at your sides.
To determine the future shape of the chest the doctor uses a tape measure, and sometimes special patterns. To determine the correct position of the nipple, the surgeon first finds the finger skin fold under the breast. Her nipples are usually normal. Then the doctor has nipples symmetrically horizontally and vertically.
Pre-marking allows to reduce the time spent in the patient’s state of anesthesia or pharmacological sedation as the surgeon does not need to spend time choosing the right and symmetrical lines of incisions during surgery. Also the surgeon does not have the eye to calculate the displacement of the tissue in the patient lying down compared with standing or sitting, which improves the result of the operation.
- Women after the end of lactation, when is decreasing the glandular component of the mammary glands and the volume of the extra amount of skin remains.
- Women after weight loss in cases where special creams to restore the skin elasticity is not effective enough, and the formulation of the implants is unacceptable for any reason.
- Women in the age when the skin loses its elasticity and begins to have an impact on the chest the force of gravity.
- Women who decided to abandon the implants, but want to maintain a beautiful breast shape.
Video: Anatomy of the breast
- Lactation. Less than one year from the end of lactation. Or a woman ready to get pregnant and to breastfeed.
- Blood disease, blood clotting disorder.
- Diseases of the cardiovascular and respiratory system acute exacerbation of chronic or in a state of decompensation.
- Severe course of diabetes.
- Infectious diseases.
- Active tuberculosis of any localization.
- Cancer of any localization.
- The large number of cysts or masses in the breast, or the presence of large cysts and seals that require treatment.
All preparations for the operation actually consists of two main blocks – the medical examination and compliance with certain restrictions, which in the future is guaranteed to reduce the risks of complications surgery.
- Tests: General blood and urine tests, a blood from a vein in biochemistry, syphilis, hepatitis b and C, HIV, blood group and RH factor.
- Instrumental examination: mammography or breast ultrasound, ECG, chest x-ray.
- Consultation: the surgeon (to determine the indications for surgery and choice of surgery), the physician (to identify contraindications to surgery), breast (if there are changes on the mammogram or ultrasound).
The list of surveys may be increased with the presence of chronic diseases of internal organs, arteries or veins and other diseases. For example, if the patient’s varicose veins of the legs to be USGD the veins of the legs and consult a vascular surgeon.
All tests results are valid only 2 weeks before the surgery because it is advisable to allocate yourself time in the schedule for tests and consultations with specialists.
Restrictions that must be followed
Surgeons usually recommend to stop Smoking 2 weeks before surgery and refrain from Smoking until 3 weeks after, as it affects the rate of tissue healing and scar formation at the surgical site place.
Within two weeks you should not take any drugs that affect blood viscosity and the speed of blood clotting. Usually with a list of such drugs the patient introduces a physician or surgeon. The physician may need to take certain medications to prevent complications.
A week before the surgery is to abandon drinking alcohol, regardless of whether it enters in the composition of alcoholic beverages or drugs.
Alcohol impairs the functioning of liver and kidneys, which are experiencing during and after the operation, a heavy load: they neutralise and excrete drugs for anesthesia, pain medications and antibiotics, as well as the toxic products that result from massive tissue damage.
- Food and drink.
The day before operation should be tightly Breakfast. Instead of lunch and dinner, it is advisable to drink the water. On the day of surgery to eat and drink is prohibited.
What is the procedure
In most cases, surgery is performed under General anesthesia, because the operation time can take from 1.5 to 3 hours. On the skin of the chest performed two cuts. One circular incision around the nipple in a circle.
The second is a circular incision around the first at some distance. Then a ring of skin between the incisions is removed, and the skin, located behind the second slit, is attached to the nipple.
Tissue in deep wounds in most cases impose an absorbable thread and the skin sew thin nylon thread.
Sometimes, the wound can leave the drain pipe below it is the outflow of blood and tissue fluid that seeps into the wound and can cause inflammation.
Because after the surgery, tissue in the area of postoperative incision are under tension due to the tension of the skin on opposite sides of the nipple, the joints must be additionally fixed surgical tape.
The postoperative period
The first day after surgery, the patient spends in the recovery room under the supervision of medical staff. In the first hours after surgery can be nausea and vomiting, therefore, at this time you cannot eat or drink. In the case of intense thirst can only moisten the lips and tongue with clean water.
After the termination of pain medication in the area of the operated breast may be pain of varying intensity. Pain due to the injury of tissues during surgery, and the buildup of edema.
In order not to provoke pain and swelling to intensify, it is recommended that:
- immediately after the operation to wear the compression garment;
- do not raise the hands above the shoulders, not to make any sudden movements with your hands;
- not to adopt such regulations, in which is felt the increased tension in the area of postoperative seams.
On the second day if the first was uneventful, patient discharged home.
Home for at least another three weeks to wear a compression garment around the clock. Then you can walk in it only during the day and engage in this sport. In the first two or three days at home may disturb pain in the chest, which gradually go into decline. These days, you can take the pain medications prescribed by a doctor.
The area of the wound can not be wet during the week after surgery. Shower can be taken after the surgeon will assess the condition of the seams. This usually occurs in 7-10 days. Taking a bath is not recommended, as this may increase swelling.
The stitches will be removed 10-14 days after the surgery. All the time, until the stitches are not removed, they must be treated with an antiseptic solution at least 1 time a day. Light manipulation (work in the kitchen, driving cars, etc.) can be started from the second week after surgery.
A month later, you can resume sports activities, but to the selection of exercises should be approached seriously, as any load that stretch the postoperative scars will make the scars wider and rougher. The scars are fully Mature by the fourth month after surgery.
During the first four weeks of a prohibited bath, sauna, Solarium and any other procedures which may have a thermal effect on the chest. Heat increases swelling, which creates additional load on scars and stretch them out.
Swelling can go 3-4 months. Only after the complete disappearance of the edema to assess the results of the operation.
A year do not expose scars to direct sunlight (Topless sunbathing), so as not to cause pigmentation of the scars.
In case of bleeding, the blood collects in the incision area of the tissue taken during surgery. Usually a cavity in which is accumulated a blood, need to be drained. If this is insufficient, then the surgeon has to remove the stitches, look at the wound bleeding vessel and sew it or impose on it a special clip that will not allow the blood to flow out of the vessel.
When injected into the wound infection, impaired immunity, ineffectiveness of antibiotic therapy, can develop hotbed of purulent infection.
The process is characterized by intense pain, fever, increase of the local temperature of the skin over the inflammation and redness of the skin.
Loss or reduction of skin sensitivity of the breast and nipple
This complication occurs in most cases. And in most cases resolves on its own after a few months after surgery.
The risk of violations of the healing tissue is small. But the patients in age, with overweight bodies, smokers, having health problems, this complication still happens.
Manifest violation of healing in different ways, from a longer postoperative wound healing to the development of insufficiency of blood supply to the area of the postoperative wound with necrosis (necrosis) of the skin and nipple.
A serious problem for all operations, including plastic. When carrying out circular mastopexy scar runs along the edge of the pigmented skin of the areola, because it is less visible than, for example, with a vertical mastopexy. Nevertheless, it is still noticeable. And its location no date possible to use the nipple and no laser or microdermabrasion.
The formation of «shirring» of the skin
If a circumareolar mastopexy to remove the excess skin and stitch the edges of the wound is inaccurate, it can appear ugly folds of skin from which to remove will be difficult.
|The transaction||price in rubles|
This price includes the basic list of necessary surveys, the necessary advice, medicines to be used in the clinic, the price of the surgery, one night stay in the intensive care unit.
Photos before and after circumareolar mastopexy